Individual provider Active NPI

Dhanya Bonita Eisenstein, M.F.T.

  • Marriage & Family Therapist
  • West Hollywood, CA
National Provider Identifier
1093905374
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC37157 Issued in CA
Practice address
519 N la Cienega Blvd Ste 16
West Hollywood, CA 90048
Phone
(310) 842-3304
NPI assigned
Aug 1, 2007
Last updated
Jul 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC37157 CA Primary

Addresses

Primary practice location

519 N la Cienega Blvd Ste 16
West Hollywood, CA 90048

Mailing address

6308 1/2 W Olympic Blvd
Los Angeles, CA 90048-5412
Phone (310) 842-3304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC37157CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Kodimer PHD Psychological Marriage & Family Therapist PastSince Jan 1, 2014 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1093905374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 1/2 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485412",
            "telephone_number": "310-842-3304",
            "fax_number": "888-235-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N LA CIENEGA BLVD STE 16",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "310-842-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENSTEIN",
        "first_name": "DHANYA",
        "middle_name": "BONITA",
        "name_prefix": "Ms.",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC37157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.